HOW I DO IT : A New Method of Myocardial Revascularization with Use of the Radial Loop Technique

Authors

  • Thanos Athanasiou
  • Roberto Casula
  • Alexandros Charitou
  • Sanjay Kavia
  • James Skipworth
  • Rex De L. Stanbridge
  • Brian Glenville

DOI:

https://doi.org/10.1532/hsf.993

Abstract

We report a technique that allows total arterial myocardial revascularization of the left ventricle by the use of the radial artery as a composite graft. The technique includes anastomosis of the distal end of the radial artery to its more proximal part after division of the conduit from the brachial artery. In this way we create an adjustable loop that can be divided and used as a Y-fashioned conduit according to the needs of revascularization. The main advantages of this technique are that it saves time and facilitates complex arterial revascularization of the lateral and posterior parts of the left ventricle, especially during off-pump revascularization. At least 2 coronary targets can be revascularized with the radial artery in a flexible and safe manner. The radial artery also has important potential opportunities for multiple grafting through minimal-access incisions or endoscopic coronary artery bypass grafting when a critical Y anastomosis is needed inside the chest.

References

Buxton B, Fuller J, Gaer J, et al. 1996. The radial artery graft as a bypass graft. Curr Opin Cardiol 11:591-8.nNishida H, Nakajima M, Ihashi K, et al. 1996. Effects of smaller physical size on complex arterial grafting in coronary artery operations. Ann Thorac Surg 62:733-6.nRoy A, Stanbridge R, O'Regan D, et al. 2000. Progression to 100% off-pump coronary artery bypass with the Octopus 1 dual holder. Heart Surg Forum 4:174-8.nTatoulis J, Royce AE, Buxton BF, et al. 2002. The radial artery in coronary surgery: a 5 year experience--clinical and angiographic results. Ann Thorac Surg 73:143-7.nWendler O, Shahangi E, Georg T, Schafers HJ. 2001. Complete arterial coronary artery bypass grafting versus conventional revascularization: early results. Thorac Cardiovasc Surg 49:1-4.nYilmaz AT, Ozal E, Gunay C, Arslamm M, Tatar H. 2001. Extended use of radial artery with Y-graft technique for complete arterial revascularization. Ann Thorac Surg 72:636-7.nAguero OR, Navia JL, Navia JA, Mirtzouian E. 1999. A new method of myocardial revascularization with the radial artery. Ann Thorac Surg 67:1817-8.nAthanasiou T, Casula R, Glenville B, Stanbridge R. 2002. A new method of grafting the circumflex through lateral MIDCAB with the use of the radial loop technique. Available at: http://www.elsevier.com/gej-ng/10/22/71/65/25/53/article.html.n

Published

2005-02-07

How to Cite

Athanasiou, T., Casula, R., Charitou, A., Kavia, S., Skipworth, J., Stanbridge, R. D. L., & Glenville, B. (2005). HOW I DO IT : A New Method of Myocardial Revascularization with Use of the Radial Loop Technique. The Heart Surgery Forum, 6(4), E68-E69. https://doi.org/10.1532/hsf.993

Issue

Section

Articles